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30 - The treatment of anxiety disorders in primary care

from Section 4 - Treatment of anxiety: current status and controversial issues

Published online by Cambridge University Press:  10 November 2010

Helen Blair Simpson
Affiliation:
Columbia University, New York
Yuval Neria
Affiliation:
Columbia University, New York
Roberto Lewis-Fernández
Affiliation:
Columbia University, New York
Franklin Schneier
Affiliation:
Columbia University, New York
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Summary

This chapter reviews the treatment of anxiety disorders in primary care. Topics explored include medication effectiveness (e.g. sertraline, venlafaxine, pregabalin, herbal medication) and use of psychosocial interventions (e.g. cognitive-behavioral therapy, lifestyle modification therapy). At present, selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are considered the first-line pharmacological treatment for anxiety disorders. General care was limited to a discussion of clinical history, psychoeducation on social anxiety disorder (SAD), and provision of general support by the primary care physician (PCP). Several alternatives to usual care have been explored in the treatment of mental disorders in primary care, including strategies that seek to overcome patient, physician, and process-of-care barriers. A systematic review of the efficacy of self-help manuals for anxiety disorders in primary care identified six studies. The development of interventions involving the participation of these and other types of health professionals should also be the focus of research.
Type
Chapter
Information
Anxiety Disorders
Theory, Research and Clinical Perspectives
, pp. 348 - 355
Publisher: Cambridge University Press
Print publication year: 2010

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